All citations for Waters of Indianapolis, the

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Waters of Indianapolis, the

Last standard health inspection on record

June 26, 2025

Showing 1 to 25 of 25 citations

  1. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  2. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  3. No harm, with potential for more than minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  4. No harm, with potential for more than minimal harm

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  5. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  6. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  7. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  8. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  9. No harm, with potential for more than minimal harm

    Meet other general requirements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0100, Construction Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  10. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 6, 2024).

  11. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  12. No harm, with potential for more than minimal harm

    Have properly installed hallway dispensers for alcohol-based hand rub.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  13. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0521, Services Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  14. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  15. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0921, Environmental Deficiencies. Inspection of July 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 5, 2025).

  16. No harm, with potential for more than minimal harm

    Protect each resident from the wrongful use of the resident's belongings or money.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 21, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (March 19, 2025).

  17. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 23, 2025).

  18. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 23, 2025).

  19. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 23, 2025).

  20. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 23, 2025).

  21. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 23, 2025).

  22. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 12, 2024).

  23. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 5, 2024).

  24. No harm, with potential for more than minimal harm

    Have policies on smoking.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0926, Environmental Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 5, 2024).

  25. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of June 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.